NUR 265 EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS
Venous or Arterial?
wound is initially superficial and irregular in shape - ANSWER-Venous
Define precordium - ANSWER-Chest area in front of heart
S1 is the closing sound of what valves? - ANSWER-Mitral and tricuspid (AV)
(lub)
S2 is the closing sound of what valves? - ANSWER-Pulmonic and aortic (SL)
(dub)
Where is S1 best heard at? - ANSWER-Apex
Where is S2 best heard at? - ANSWER-Base
What does S3 indicate? - ANSWER-Volume overload problem ---> turn patient to
left side to hear better
Where is S3 heard in the cardiac cycle? - ANSWER-Early diastole
What does S4 indicate? - ANSWER-Stiff ventricles ---> lay patient lateral to hear
better
Where do you hear S4 in the cardiac cycle? - ANSWER-Immediately before S1
1
,Which side of the stethoscope is used to listen to extra heart sounds? - ANSWER-
Bell
S3 is also called what? - ANSWER-A ventricular gallop
Where do you hear a murmur and where do you hear a bruit? What do they sound
like? - ANSWER-Blowing swooshing sound
Murmur - heart
Bruit - neck
What is a lift/heave? - ANSWER-- seen on inspection
- see chest/heart move
- d/t enlarged heart
What is a thrill? - ANSWER-Vibration
What is all included in a cardiac hx/interview? - ANSWER-- pain
- sob
- sleep position
- dizzy/lightheaded
- cough
- cyanosis/pallor
- fatigue
- edema
- nocturia
2
, - meds
What else should be assessed for a cardiac interview for infants? - ANSWER--
what was the mothers health during pregnancy?
- cyanosis (breastfeeding, crying?)
- eating without tiring?
- meeting growth milestones?
- how many naps? how long?
What else should be assessed for a cardiac interview for children? - ANSWER--
meeting growth milestones?
- any blue coloring during activity?
- able to keep up with age mates?
- squatting to rest or knee-chest position while sleeping
- chest pain?
- family hx
How do you inspect the jugular veins? - ANSWER-Supine at a 45 degree angle
During pregnancy, where does the hearts location shift and where is the PMI? -
ANSWER-Heart shifts upwards and to the right
PMI changes to 4th ICS
What are changes in pregnancy related to cardiovascular? - ANSWER-- increase in
plasma volume and RBC's
- increased stroke volume
3
COMPLETE SOLUTIONS
Venous or Arterial?
wound is initially superficial and irregular in shape - ANSWER-Venous
Define precordium - ANSWER-Chest area in front of heart
S1 is the closing sound of what valves? - ANSWER-Mitral and tricuspid (AV)
(lub)
S2 is the closing sound of what valves? - ANSWER-Pulmonic and aortic (SL)
(dub)
Where is S1 best heard at? - ANSWER-Apex
Where is S2 best heard at? - ANSWER-Base
What does S3 indicate? - ANSWER-Volume overload problem ---> turn patient to
left side to hear better
Where is S3 heard in the cardiac cycle? - ANSWER-Early diastole
What does S4 indicate? - ANSWER-Stiff ventricles ---> lay patient lateral to hear
better
Where do you hear S4 in the cardiac cycle? - ANSWER-Immediately before S1
1
,Which side of the stethoscope is used to listen to extra heart sounds? - ANSWER-
Bell
S3 is also called what? - ANSWER-A ventricular gallop
Where do you hear a murmur and where do you hear a bruit? What do they sound
like? - ANSWER-Blowing swooshing sound
Murmur - heart
Bruit - neck
What is a lift/heave? - ANSWER-- seen on inspection
- see chest/heart move
- d/t enlarged heart
What is a thrill? - ANSWER-Vibration
What is all included in a cardiac hx/interview? - ANSWER-- pain
- sob
- sleep position
- dizzy/lightheaded
- cough
- cyanosis/pallor
- fatigue
- edema
- nocturia
2
, - meds
What else should be assessed for a cardiac interview for infants? - ANSWER--
what was the mothers health during pregnancy?
- cyanosis (breastfeeding, crying?)
- eating without tiring?
- meeting growth milestones?
- how many naps? how long?
What else should be assessed for a cardiac interview for children? - ANSWER--
meeting growth milestones?
- any blue coloring during activity?
- able to keep up with age mates?
- squatting to rest or knee-chest position while sleeping
- chest pain?
- family hx
How do you inspect the jugular veins? - ANSWER-Supine at a 45 degree angle
During pregnancy, where does the hearts location shift and where is the PMI? -
ANSWER-Heart shifts upwards and to the right
PMI changes to 4th ICS
What are changes in pregnancy related to cardiovascular? - ANSWER-- increase in
plasma volume and RBC's
- increased stroke volume
3
